Individual
KELLY RENEE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014
(513) 834-7063
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.395779
OH
Other
Enumeration date
02/27/2018
Last updated
07/02/2018
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